| Doctor Name: | MS. SUZANNE ELIZABETH BERGERON |
| NPI Number: | 1093020091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNCS |
| License Number: | RN115664 |
| Business Practice Address: | 2 Administration Rd Bridgewater, MA - 023243230 |
| Business Phone Number: | 5082793614 |
| Business Fax Number: | 5082793611 |
| Mailing Address: | 2 Administration Rd, BRIDGEWATER |
| State: | MA |
| Postal Code: | 023243230 |
| Phone Number: | 5082793614 |
| Fax Number: | 5082793611 |
| NPI Enumeration Date: | 08/13/2010 |
| NPI Last Update Date: | 08/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | RN115664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |